Objectives: 3 different type jowl and the coping strategies by thread lifting

Objectives: The primary objective is to present a comprehensive protocol, developed from clinical experience and supported by recent innovations, specifically designed to optimize both the immediate lifting effect and the long-term outcomes of thread lifting treatments.

Introduction: Thread lifting is a popular minimally invasive technique in aesthetic medicine, known for its immediate results. However, the consistency of its long-term outcomes and lifting effects often varies. This work, drawing on over 15 years of clinical experience and international training in absorbable threads, aims to identify key factors that contribute to the longevity and success of these procedures.

Materials / method: A structured clinical approach was developed, encompassing four key areas:
1. Patient assessment: This includes evaluating age, lifestyle, genetic, and connective tissue factors, along with a simple thumb flexibility test.
2. Preparation: This involves skin conditioning through hormonal support, collagen stimulation, PRP, HA biostimulation, and botulinum toxin.
3. Procedure tips: This covers the choice of insertion layer, treatment of multiple anatomical areas, utilization of advanced thread designs, and combination therapies
4. Post-treatment care

Results: The implementation of this comprehensive protocol has yielded positive clinical outcomes, including improved patient satisfaction, enhanced lifting effects, and notably longer-lasting results, often extending beyond 18–24 months. The integration of connective tissue evaluation and a multimodal preparation strategy proved particularly effective in patient selection and in improving the predictability of results.

Conclusion: Long-term success in thread lifting is achieved through a multidimensional approach. This begins with meticulous patient assessment, continues through precise procedural techniques, and is completed with thoughtful aftercare. By incorporating the latest advancements in thread technology with regenerative and rehabilitative strategies, practitioners can significantly enhance both the quality and duration of thread lifting outcomes.

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Objectives: In recent years, Asian women increasingly seek upper arm rejuvenation without long scars or extended downtime. While liposuction is effective for volume reduction, it often leaves skin laxity unaddressed. My aim is to share a practical approach using absorbable threads to improve upper arm contour and firmness in selected patients.

Introduction: Upper arm sagging is traditionally treated with excisional brachioplasty or liposuction. However, these procedures are often too invasive for patients with mild-to-moderate laxity, especially those who are averse to scarring. There is a growing need for skin-tightening methods that are less invasive yet produce visible aesthetic improvements.

Materials / method: Asian patients typically have thinner dermis and more resistant subcutaneous tissues, making upper arm tightening challenging. I have applied a vector-based thread lift technique using 5–8 absorbable threads per arm inserted through minimal incisions. The threads are arranged in a fan or linear pattern targeting the posterior and lateral arms, with emphasis on repositioning lax skin and stimulating collagen.

Results: Patients with moderate skin laxity and residual fat showed improved upper arm contour and visible tightening within 2–4 weeks. No major complications were observed. Results were more stable when threads were combined with targeted liposuction. Patient satisfaction was high, especially among those hesitant about conventional surgery.

Conclusion: Thread lift for upper arms is a practical, safe, and minimally invasive alternative to excisional surgery for selected Asian patients. I hope to share my technique, key indications, and considerations with the international community, particularly in the context of expanding aesthetic options for the body.

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